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ISRRT_COVID-19_book

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to help my colleague, Dr Rob Higgins at the University of Salford, translate RiTe for year 2<br />

students into a suitable online format. My proposal was to direct student learning, and the<br />

assignment, onto mobile chest x-ray in the context of imaging <strong>COVID</strong>-<strong>19</strong> patients and those<br />

suspected of having it. At that time, I knew CT had a role in diagnosing and managing <strong>COVID</strong>-<br />

<strong>19</strong>, but there was no literature to the best of my knowledge at that time on plain chest x-ray<br />

for assessing <strong>COVID</strong>-<strong>19</strong>. I knew I was out on a limb with my suggestion but had some<br />

confidence that this imaging method would be used extensively in the coming months. Rob<br />

and I moved forwards and developed the learning materials to support online delivery, this<br />

involved adapting the assessment method to include online presentations by the students.<br />

The process of translating to online had to be done quickly, as the students would start the<br />

module later in April.<br />

Saturday 4 th April 2020 – ‘a frantic day’<br />

By 9.00am I had talked through my proposal about a website with Dianne. I explained to her<br />

that I was out on a limb – I had no proof that chest x-ray would be used extensively for <strong>COVID</strong>-<br />

<strong>19</strong> diagnosis and management. I knew my professional reputation would be on the line if I<br />

was wrong, and worse, if I was wrong then radiographers across the world might use the<br />

website to guide practice even though chest x-ray might not have value. I was extremely<br />

concerned about this, so I sought reassurance from an expert - Dr Nick Woznitza.<br />

At 10.00am I had a phone call with Nick. Nick was a consultant radiographer in London, and<br />

he makes diagnoses and writes reports from radiographic images; furthermore, Nick had a<br />

formal role in helping one of London’s foremost <strong>COVID</strong>-<strong>19</strong> hospitals (Excel) set up its radiology<br />

service. Consequently, I trusted his professional judgement. During the phone call, Nick<br />

reassured me that I was correct in thinking that chest radiographs do have a role, even though<br />

nothing appeared to be documented in the literature at that moment in time. Nick also<br />

confirmed almost nothing existed free of charge in the public domain to help radiographers<br />

and radiologists take and interpret chest radiographs with <strong>COVID</strong>-<strong>19</strong> in mind. For the rest of<br />

the day, I set wheels in motion to contrive a situation which would result in the website being<br />

created.<br />

Next, I emailed my line manager Professor Margaret Rowe, Dean of the School of Health and<br />

Society at the University of Salford. I asked her permission to lead the creation of the website<br />

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